| NPI | 1922822246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021358) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0000680) |
| Enumeration Date | 2024-11-13 |
| Last Update Date | 2024-11-13 |